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QU(,y� CHECK LIST - DEMOLITION PERMIT <br /> Op ,....... C\ <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3121 <br /> [NSPECTION REQUEST 24-KOUR RECORDER: (209) 4.68-3165 <br /> �q, �P <br /> �G�F <br /> CHECKLIST <br /> THE FOLLOWING INFORMATION AND DOCUMENTATION MUST BE SUBMITTED TO DEVELOPr%rENT SERVICES Check- <br /> BEFORE YOUR APPLICATION CAN BE PROCESSED. Of <br /> 1. One completed Application. <br /> 2. Obtain Environmental Health Department Approval on Demolition Permit Application. The final <br /> disposition of the well and septic system must be identified prior to application approval <br /> 3. If your demolition project is 1200 sq. ft. or more you must obtain an approved Debris Diversion <br /> Plan from Public Work-, Snlid Write Division office at 1810 E. Hazelton Ave, Stockton, 468-3066. 1 <br /> PRIOR to obtaining your Demolition Pen-nit. <br /> 4. Obtain Air Pollution Control District Approval on Demolition Permit Application. (Residential <br /> structures with four or less dwellings are exempt from this requirement. HOWEVER, if <br /> the structure is to be burned, or if the property involved has been used for or is being <br /> cleared for a commercial or public use, the approval is required.). <br /> 5, it is the applicant's responsibility to notify P.G.& E. and have utilities disconnected. it is also the <br /> applicant's responsibility to insure P.G.& E. notifies the Building Inspection Division that these <br /> utilities have been properly disconnected. Please contact P.G. , E. at 1209) 942-1526.Z. <br /> € <br /> Scope of Work: nV /;'�i �L <br /> Project Address: 5i. <br /> DEPARTMENTS LISTED BELOW MUST GIVE APPROVAL PRIOR TO ISSUING DEMOLITION PERF141T <br /> :,r Date Issued: aI f <br /> Environmental Health Department Approval Signature: ,� ,,� ti� I e . <br /> San Joaquin Valley Unified Air Pollution Control Date Issued: <br /> District Approval Signature <br /> AIR POLLUTION CONTROL DISTRICT ENVIRONMENTAIL. HEALTH DEPARTMENT <br /> 4800 Enterprise Way 600 E. Main Street <br /> Modesto, CA Stockton, CA 95202 <br /> (209) 557-6400 (209) 468-3420 <br /> 7�-j xz <br /> l�4-,w,' , V,%vim`-- �i, C-l.�tN,,•t -V, (,v. <br /> u <br /> FFA6UILDING\HAND0UTS\Check List Demolition Pemit.doc(Revised 07-28-09) <br />